Individual
LAURA NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-1634
Mailing address
3620 DOUBLE ROCK LN, PARKVILLE, MD 21234-4223
(443) 326-2894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R191538
MD
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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